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Nebraska rates for HCPCS 40702

Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,585.78 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,047.13 / $5,370.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $15,488.17 / $30,199.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,513.56 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $2,290.87 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,862.09 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,905.46 / $7,585.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,290.87 / $3,090.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,905.46 / $2,511.89